0001209191-16-129145.txt : 20160621
0001209191-16-129145.hdr.sgml : 20160621
20160621194921
ACCESSION NUMBER: 0001209191-16-129145
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160617
FILED AS OF DATE: 20160621
DATE AS OF CHANGE: 20160621
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: REVA Medical, Inc.
CENTRAL INDEX KEY: 0001496268
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 330810505
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
BUSINESS PHONE: (858) 966-3000
MAIL ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thomas Robert Bain
CENTRAL INDEX KEY: 0001404477
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54192
FILM NUMBER: 161725430
MAIL ADDRESS:
STREET 1: SUITE 4 LEVEL 46 2 PARK STREET
CITY: SIDNEY
STATE: C3
ZIP: 2000
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-06-17
0
0001496268
REVA Medical, Inc.
RVA:AX
0001404477
Thomas Robert Bain
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
1
0
0
0
Common Stock
2016-06-17
4
P
0
2299
7.7954
A
59799
I
Rob Thomas Superannuation Fund
Common Stock
2016-06-17
4
P
0
201
7.7769
A
60000
I
Rob Thomas Superannuation Fund
Common Stock
15000
D
Represents the purchase of 22,900 of the Company's Chess Depository Interests (CDIs), trading on the Australian Securities Exchange.
The purchase was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction.
Represents the purchase of 2,010 of the Company's Chess Depository Interests (CDIs), trading on the Australian Securities Exchange.
/s/ Katrina Thompson
2016-06-21